Individual
KENNETH DANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-2893
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
037772
CT
2083X0100X
Occupational Medicine Physician
Primary
037772
CT
Other
Enumeration date
06/17/2005
Last updated
02/25/2013
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